Jaloukavacharana(LEECH THERAPY) A Painless Procedure in VATAKANTAKA(Calcaneal Spur)

Not yet recruiting

• Conditions: Disorder of bone density and structure, unspecified,

• Registration Number: CTRI/2020/11/029386
• Lead Sponsor: Self Dr Kavyashree Kodekalmath

Brief Summary

*Vatakantaka*is one among the *Vataja Nanatmaja Vyadhi.* The vitiated *Vata* in *khudapradesha* is the main cause for the disease, which ischaracterized by *Kantakavat Shoola* (severepricking pain) in *padatala pradesh. Nidana*for *Vatakantaka* are improperplacing the feet on the ground while walking (*vishamampade)* or exhaustion due to excess of walking *(atishrama).*1

Pain in the heel region can besubdivided according to the region affected as pain within the heel, painbehind the heel and pain beneath the heel.2 Calcaneal Spur is a bonyprojection forwards from undersurface of the calcaneal tuberosity3 andit is characterized by pain within and beneath the heel region hence, it can becorrelated to *Vatakantaka*. The causesare mainly repeated attacks of plantar fasciitis, repeated trauma, ill fittingfootwear, constant pulls of the shortened plantar fascia and fibromatosis ofplantar fascia.4 Calcaneal Spur is characterized by pain over ballof the heel, tenderness on plantar aspect of the heel with slight swelling atthe attachment of plantar fascia.5

The study on incidence of calcaneal spur inIndian population with heel pain is around 59%, in which females, obese, middleage and young athletes group are mostly affected.6 Current conservativetreatment modalities includes treating the causative factor, rest, nonsteroidal anti inflammatory drugs, local infiltration of hydrocortisone andmicrocellular rubber or placing a soft pad under the tender heel.7 Thesenon steroidal anti inflammatory drugs  produce adverse effect like gastricirritation.

Surgeryas a last resort is done either by chiseling off the bony spur with division ofplantar fascia or endoscopic plantar fasciotomy. But some potentialpostoperative complications of surgery which include recurrent heel pain,permanent local numbness, painful nerve entrapment, wound dehiscence, infectionsand hypertrophic scar. It requires hospitalization and is expensive for thepatient. And above all there is always a good chance of recurrence in thesetreatment modalities.

According to Acharya Chakradattathe treatment for *Vatakantaka* includes*Raktavasechana, Erandatailapana, Agnikarma*8and *Samanya vatavyadh ichikitsa.*9 *Jaloukavacharana* and *Siravyadha*are one among various types of *Raktavasechana**.*

*Jaloukavacharana*is one among the *Ashashtrakrut Raktamokshanopaya*,it is indicated in *Avagadha Avastha*and *Grathita Avastha*10of *Doshas* and can also be used in allthe conditions where *Raktavasechana*is indicated (S*arvani Sarverva*).11Hence, Considering above factors to manage pain in *Vatakantaka, Jaloukavacharana* is taken for study group.

Acharya Sushruta specified the useof *Siravyadha* in *Vatakantaka*12 and by previous research studies on *Siravyadha* is taken as standard procedurefor present study. As Jaloukavacharana issafest procedure, cost effective and it is carried out in *Bala*, *Vrudha*, *Biru*, *Sukumara* and *Durbala*. Hence the present study is undertaken tocompare the analgesic effect on *Jaloukavacharana*and *Siravyadha* in *Vatakantaka* with special reference toCalcaneal  Spur.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2020-11-25
• Study Start: 2020-11-26

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

Patient presenting with pain in the heel region having Vatakantaka (Calcaneal Spur) Patients of either sex aged between of 20-60years Patients who are fit for Jaloukavacharana and Siravyadhana procedure.

Exclusion Criteria

• Patients suffering from bleeding disorders and Anemia Patients suffering with systemic diseases including DM, HTN and Cardiac diseases Pregnancy and lactating women.
• Patients with HIV/HbsAg/HCV positive are excluded.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Raktamokshana procedure acts as analgesic agent and also helps to reduce swelling	within average of 15 days

Secondary Outcome Measures

Name	Time	Method
Raktamokshana procedure acts as analgesic and reduces swelling	within average of 15 days

Trial Locations

Locations (1)

Shalyatantra opd BVVS Ayurved Hospital Bagalkot; 🇮🇳 Bagalkot, KARNATAKA, India

Shalyatantra opd BVVS Ayurved Hospital Bagalkot

🇮🇳Bagalkot, KARNATAKA, India

Kavyashree Kodekalmath

Principal investigator

8904900256

kavyakodekalmath2@gmail.com